COMPEX 3 USER MANUAL
© Compex Médical SA - 01/07 - All rights reserved - Art. 841402 / V.
FOREWARD Please read this manually carefully prior to using your Compex 3 stimulator. We strongly recommend that you familiarize yourself with the content of chapter 1 (warnings) and the specific instructions chapter in the accompanying Practical Guide. COMPEX 3 User Manual The Compex 3 stimulator is designed to be used by health professionals.
Customer support… FRANCE Compex 19, avenue du Pré de Challes F - 74940 Annecy-le-vieux Hotline: 0811 02 02 74 (prix appel local à partir d’un poste fixe) Fax: +33 (0) 4 50 09 25 70 Email: info@compex.fr ITALIA Compex Italia Srl Via Algardi, 4 I - 20148 Milano Tel.: +39 02 30412057 Fax: +39 02 30412058 E-mail: info@compex-italia.it BENELUX Compex 19, avenue du Pré de Challes F - 74940 Annecy-le-vieux Fax: +33 (0) 4 50 09 25 70 Belgique/Belgïe MediCompex Ibérica, S.L.
CONTENTS 5 I WARNINGS 1 - Counter-indications ..................................................................................... 8 2 - Safety measures .......................................................................................... 8 II PRESENTATION 1 - Reception of equipment and accessories .......................................10 2 - Warranty .........................................................................................................10 3 - Maintenance ........................
COMPEX 3 User Manual 6 V USING THE STIMULATOR 1 - Description of stimulator ........................................................................... 2 - Connections A) Connecting the cables ..................................................................... B) Connecting the motor point pen ................................................. C) Connecting the charger ................................................................. 3 - Preliminary settings A) Date and time .............................
VII COMPEX 3 SOFTWARE 7 COMPEX 3 User Manual 1 - Scope A) Creating a patient list .................................................................. 38 B) Creating a patient history .......................................................... 38 C) Creating a personalised programme .................................. 38 2 - Mode of operation A) Creating a patient file .................................................................. 39 B) Preparing data to transfer to Compex 3 ...........................
I WARNINGS 1 - Counter-indications • Cardiac stimulator (pacemaker). • Pregnancy (do not use in abdominal region). • Troubles Serious arterial circulation disorders in lower limbs. • Abdominal or inguinal hernia. Important! • Never use Compex 3 on patients who have sensitivity problems or who are unable to let you know if they feel any discomfort, however slight. • Read this manual and the accompanying Practical Guide carefully.
• Never recharge the stimulator without first disconnecting all stimulation cables. Precautions when using the m-4 system • Do use the Compex 3 stimulator, docking station, or charger if any of the elements are damaged (case, cables, etc.) or if the battery compartment is open. There is a risk of electric shock. • Do not connect the m-4 cable while the Compex 3 is connected.
II PRESENTATION Your kit contains: 1 - Reception of equipment and accessories 513000 1 stimulator 683028 1 docking station 683010 1 battery charger 601131 1 set of black snap connectors for electrodes, colour-coded (blue, green, yellow, red) 601132 1 set of grey 2.
3 - Maintenance Do not sterilize the stimulator. Clean with a soft cloth and an alcoholbased, solvent-free cleaning product. Use only a minimum amount of liquid when cleaning the unit. unit should not be exposed to excessive fluids during cleaning). Do not attempt to repair the stimulator or any of its accessories. Do not disassemble the stimulator, docking station, or charger as these all contain high-voltage components that could cause electric shock.
6 - Elimination The main purpose of the Directive 2002/96/EEC is to prevent the creation of waste electrical and electronic equipment (WEEE) and to reduce the amount of waste to be disposed of by encouraging reuse, recycling, and other forms of recovery. Any products bearing the WEEE marking (a crossed-out wheeled bin) must be separated from ordinary household waste and sent to special collection facilities for recycling and recovery.
Waste electrical and electronic equipment (WEEE) marking according to EN 50419 standard. The On/Off switch is a multifunction key (symbol no. 5009 IEC 60878) Functions • On/Off (2 positions, stable) • Waiting or preparation for part of the unit • Off (turns system off) 13 10 - Technical specifications 941210 Power: Nickel metal hydride (NiMH) rechargeable battery (4.8 ≈ V 1200 mA/h).
601132 Pin-connector stimulation cables Machine connector: 6 poles Electrode connector: 2.1 mm pins Length: 1500 mm 601161 Adapter cable for probe Machine connector: 6 poles Probe connector: DIN 41524 female, 3 poles Length: 750 mm 601160 stimulation cables fitted with m-4 system.
2 - Body position Refer to the pictograms and pictures in the electrode placement booklet to determine the stimulation position for your patient depending on the placement of the electrodes and the chosen program. . This position will vary depending on the position of the electrodes, the muscle group you wish to stimulate, and the programme you are using.
5 - Alternation of stimulation/ active reeducation sessions Stimulation sessions are mostly used as part of a reeducation programme. If you wish to combine a reeducation session involving voluntary muscle training with a muscle stimulation session, we generally recommend you schedule the reeducation session first. This ensures that the patient does not have to work on tired muscle fibres.
Each channel that is connected to a standard cable receives the same data as a channel connected to a m-4 cable (see below). Programmes run in m-1 mode offer a number of distinct benefits: 17 • They require the active participation of patients and encourage them to become fully involved in their treatment. • They allow patients to control their contractions, allowing them to feel more at ease with the system.
NOTE: The m-4 system needs to record the muscle twitches in the active rest phase in order to offer optimal results. If the twitches are not sufficiently intense during this phase, the stimulator will emit a series of beeps and a sign will appear on the screen. Note that these muscle twitches will only occur if the muscles are sufficiently relaxed. Patients should therefore be encouraged to adopt a position in which they will be as relaxed as possible at the end of each contraction phase.
V USING THE STIMULATOR You are strongly advised to carefully read the counter-indications and safety measures described at the 19 beginning of this manual (chapter 1 “Warnings”) prior to using your stimulator 1 - DESCRIPTION OF STIMULATOR B - i button. This is used to: • Increase stimulation energies in several channels simultaneously. • Access the Top 5 menu (showing 5 most recently used programs • Access the contraction info menu (showing number of contractions and total contraction time).
2 - Connections A) Connecting the cables The stimulator cables plug into the 4 sockets on the base of the device. All 4 cables can be connected simultaneously. Both the sockets and the cables are colour-coded to simplify use and facilitate identification of the different channels: blue=channel 1 yellow = channel 3 green = channel 2 red = channel 4 The kit includes four snap-connector cables and four 2,1 mm pin-connector cables.
C) Connecting the charger The Compex 3 is a portable muscle stimulator powered by a rechargeable battery unit. To recharge the stimulator, simply connect the charger to the base of the stimulator or the docking station supplied with the unit. Connect the charger to the mains. Remove any stimulation cables connected to the stimulator before recharging it. We strongly recommend you fully charge the battery before using it for the first time as this will improve its autonomy and life span.
B) Language, contrast, volume When you start up the stimulator for the first time, you will need to choose the interface language you wish to use from the options screen. See below for instructions on how to proceed. There are a range of settings that you can adjust to suit your needs (interface language, display contrast, backlighting, volume). To change any of these settings, bring up the options screen by holding the On/Off button on the front of the stimulator for a few seconds. 2a 2b fig.
B) Choosing a programme category 4b 4e 4a: Press the On/Off button to return to the previous screen. 4b: Use the channel 1 +/- button to choose a category. 4e: Press the channel 4 +/- button to confirm your choice and access the programme selection screen. Press the i button to access the Top 5 menu. C) Choosing a programme NOTE: Consult our Practical Guide for help in choosing a programme. Once you choose a category, the screen will display a list of available programmes. 5a fig.
E) During the stimulation session Preliminary m-3 test 8a fig. 8 8b 8c 8d 8e Session duration (in min.) m-4 connected The stimulator will automatically select the muscle group to be stimulated when a m-4 cable is connected to the unit. Reminder: The m-3 function will activate automatically in programmes that accommodate this function when at least 1 m-4 cable is connected to the stimulator. 8b: Use the channel 1 +/- button to enable the m-1 function.
Adjusting stimulation energies When you start a programme, you will be prompted to increase the stimulation energies. This is key to the success of any treatment. Session duration (in min.) 10a 10b 10c 10d 10e fig. 10 Heat waves depicting the warm-up sequence 10a: Press the On/Off button to return to the previous screen. 10 b c d e: The unit will beep and the symbols for the 4 channels will alternate between + and 000. The energy level for the 4 channels is at 0.
13a fig. 13 13d 13e 13a: Press the On/Off button to return to the list of programmes in the category you are working with. 13d: Use the channel 3 +/- button to skip a particular sequence of a programme. When you do this, the unit will beep and the cursor under the progress bar will move to the beginning of the next sequence. 13e: Use the channel 4 +/- button to resume the programme at the chosen sequence. NOTE: The SKIP function is not available for all programmes.
NOTE: Press the i button to access the contraction info screen. To turn off the stimulator, press the ON/OFF button. F) Using the Intelligent TENS function When you choose a TENS programme from the Analgesic programme category, you will automatically be shown an options screen where you can specify your patient’s sensitivity level.
5 - Direct currents Never use direct currents on patients with osteosynthesis devices or other metal implants. Direct currents are used by the Iontophoresis, Hyperdrosis and Oedema programmes. Although these currents are not used for therapeutic purposes in the chest region, international standards require the inclusion of a warning against attaching electrodes to this region (increased risk of cardiac fibrillation).
24e 24a: Press the On/Off button to return to the previous screen 24e: Use the channel 4 +/- button to confi rm your choices and launch the programme. NOTE: Current intensity is automatically calculated in line with the size of electrode used. Electrode size is determined by colour. Make sure you choose the correct colour before running the programme. Press the i button from the stimulation screen or the end of programme screen to access the programme parameters.
28a 28b fig. 28 28e 28a: Press the On/Off button to return to the previous screen. 28b: Use the channel 1 +/- button to choose a programme. 28e: Press the channel 4 +/- button to confirm your choice and execute the programme. The Oedema programme begins by looking for the motor evoked potential (MEP) threshold in order to calculate the current intensity that will offer optimal therapeutic efficacy. While this is happening, the MEMO symbol will be displayed over any channels that are connected.
A) Automatic mode he stimulator will automatically detect which channels are connected when in automatic mode. Total automatic Full denervation with fixed parameters: Pulse width: 100 ms Period: 2000 ms Programme duration: 8 min NOTE: These are the default values recommended in the Total manual mode. Partial automatic Partial denervation, with automatic calculation of initial current ramp. The width of the pulse before validation of the ramp is 100 ms.
How it works To use a ramp of your choice, first select the pulse width option in the corresponding channel. Confirm your choice and increase the stimulation intensity to the desired level. 33a 33b fig. 33 33c 33e COMPEX 3 User Manual 33a: Press the On/Off button to return to the previous screen. 33b: Use the channel 1 +/- button to select the parameter you wish to edit: pulse width for each channel, period, or programme duration.
7 - Electricity consumption and recharging Never recharge the stimulator without first disconnecting the stimulation cables. Never recharge the battery with a charger other than that supplied by Compex. The Compex 3 is powered by a rechargeable battery unit. The battery’s life varies according to the programmes and stimulation energies used. We strongly recommend you fully charge the battery before using it for the first time as this will extend its battery life and life span.
8 - Troubleshooting A) Electrode error 38a 38b fig. 38 fig. 36 The Compex 3 will beep and alternately display a pair of electrodes and an arrow pointing to the channel where the problem was detected. In the example above, the stimulator has detected an error in channel 1.
VI LIST OF PROGRAMMES 35 COMMON TREATMENT Rehabilitation m-3 m-5 m-1 m-6 Channel TENS Disuse atrophy I M 2 Reinforcement I M 2 Programmes Prev of disuse atrophy Hip prosthesis Patellar syndrome Rotator cuff ACL Muscle lesion Motor Point Analgesic I I M I M I I Cervical pain I Low back pain Lumbosciatica Lumbago Epicondylitis I Venous insufficiency 2 I Cramp Prevention Capillarization I L 2 L 2 L I I Arterial insufficiency 2 2 L I Heavy legs Arterial insufficien
SPECIFIC TREATMENT Categories Programmes Direct current Iontophoresis m-3 m-5 m-1 m-6 Channel TENS Hyperhidrosis Oedema Denervated Total automatic Partial automatic Total manual Partial manual Ago/Antago Atrophy 1/1 Reinforcement 1/1 I Reinforcement 2/1 I Atrophy 2/1 Incontinence I I Stress incontinence Urge incontinence Mixed incontinence Post partum prev.
CONDITIONING Categories Programmes Sport Potentiation I Resistance I M I M Strength Explosive strength Plyometry Hypertrophy Regeneration Stretching Low back reinforcement Fitness M I M I I M M I I M Muscle definition I M Body building Step Fartlek I M I M I M I M I M I M Cross-endurance I M Cross-explosivity I M Cross-resistance L L Muscle building Power I M Toning massage I L Reviving massage I L Relaxing massage Anti-stress massage Undulat
VII COMPEX 3 SOFTWARE 1 - Scope Your Compex 3 stimulator comes with a Compex 3 software programme that will help you to manage your patients. The programme offers 3 main features that will allow you to: • Create a list of patients under treatment • Create a patient history • Create personalised programmes A) Creating a patient list COMPEX 3 User Manual Compex 3 software allows you to create a list of patients on your computer and assign each patient a list of treatments to be performed.
2 - Mode of operation Once the software is installed on your computer, you will see the following task bar on your screen. A) B) C) 39 This bar allows you to access the different features of the programme. D) A) Creating a patient file Click on the PATIENTS button to bring up the following screen: 2 1 4 3 7 1 This screen allows you add, edit, or delete a patient’s file or consult his history. 6 Add: Use this to create a new patient file.
Two of the fields in the patient file are obligatory: - the patient’s surname - l the user name that you wish to use in the stimulator. The programme will automatically propose a user name consisting of the patient’s surname and the first letter of his first name. If the name already exists, you will be asked to change it. You can assign any user name you wish as long as it does not exceed 20 characters (including spaces). All of the other fields are optional.
a b c d e f Once you have selected a programme (by clicking on its name), you will be able to define different usage parameters by using the arrows (For meaning of symbols, refer to chapter "Neurosimulation programmes, Personalising a programme" in page 23. a) choose muscle group b) choose warm-up c) choose level of work d) choose TENS option e) choose m-1 or Personalised TENS option f) choose number of times you wish each treatment to be performed OK: Click this to create a new treatment.
B) Preparing data to transfer to Compex 3 Once you have created a patient list using Compex 3 software, it is a good idea to transfer a list of patients that are currently being treated, together with their treatment protocol, to the Compex 3 1 stimulator. It does not make much sense to transfer all the patients in the computer’s database to the stimulator. Click on the COMPEX 3 button to bring up the following screen.
Double click on the lines containing the patients you wish to transfer to your stimulator. Their names will appear in area 1. To remove a patient from the list simply uncheck the corresponding box. OK: Click this to confirm your choices. Cancel: Click this to exit without saving your changes. 2 This window shows the list of personalised programmes that will be transferred to the stimulator during the next synchronisation process.
C) Synchronising the stimulator When the stimulator is connected to your computer, either via the docking station or directly, via a USB cable, you can transfer data from the computer to the stimulator and vice versa. The software retrieves the data stored in the stimulator since the last synchronisation and updates the data on the computer by recording the content of the stimulator’s history file. It then updates the patient list on the stimulator so that it coincides with the list on the computer.
D) Tools Click on the TOOLS button to view the following drop-down menu: Click on the Personalised Programmes option to bring up the following screen: Personalised programmes: This option allows you to create your own programmes with a view to transferring them to the Compex 3 stimulator.
1 These 2 buttons allow you to add or delete personalised programmes. Add: Click this to choose from among 2 programming modes: - Normal mode (default mode). This allows you to create programmes with 3 sequences: warm-up, work, and recovery. If the warm-up and recovery sequences are not required, simply uncheck the corresponding boxes. - Continuous mode. This is particularly indicated for Analgesic programmes. Check the corresponding box to select this mode (see point 2).
Double click on the lines of any entries you wish you wish to print or delete. Print: Click this to print the checked entries on the screen. Delete: Click this to delete the checked entries. NOTE: Click the heading of the corresponding column to sort entries by date, patient, or treatment. Remember that you can also consult a patient’s history in the Compex 3 patient file on the computer (see A) Creating a patient history, point 1).
3 - Using the Compex 3 stimulator with a patient list When you synchronise your Compex 3 stimulator with the Compex 3 software for the first time, you will transfer any patients you have selected, together with their protocols, to the stimulator. A) Using the Compex 3 stimulator with a patient list When the transfer is complete, the Compex 3 screen will appear as follows: 40a 40b 40c 40d 40e fig. 40 COMPEX 3 User Manual 40a: Press the On/Off button to turn off the unit.
43a fig. 43 43c 43a: Press the On/Off button to go back to the previous screen. 43c: Use the channel 2 +/- button to select a new treatment for the patient that is highlighted (in this example, patient 1). The history of this treatment will be saved in the stimulator under the patient’s name (in this example, patient 1). NOTE: Whenever you select a new patient, the treatment performed will be recorded in his history.
